BRENDA RILEY (NPI# 1679109268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679109268 |
| Entity Type | Individual |
| Full Name | BRENDA RILEY |
| Credential | LCDC-INTERN |
| Practice Address |
1103 N Avenue H Freeport TX 77541-4006 |
| Mailing Address |
2527 S 11th St Niles MI 49120-4747 |
| Practice Telephone | 9792333826 |
| Mailing Telephone | 2692621815 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1103 N AVENUE H |
| City | FREEPORT |
| State | TX |
| Zip Code | 77541-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497985998 | Adapt Foundation Inc | Substance Abuse Rehabilitation Facility | 1103 N Avenue H, Freeport, TX 77541-4006 | 2009-07-17 |
| 1952937542 | Talia Fulsom | Licensed Vocational Nurse | 1103 N Avenue H, Freeport, TX 77541-4006 | 2020-03-16 |
| 1598391187 | Valerie Simpson | Registered Nurse | 1103 N Avenue H, Freeport, TX 77541-4006 | 2020-03-16 |
| 1174051213 | Charles Herring | Counselor | 1103 N Avenue H, Freeport, TX 77541-4006 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909022 | Aida Garza | Counselor | 200 W. 2nd St., Suite 228, Freeport, TX 77541 | 2015-08-03 |
| 1982960720 | Adapt Programs, LLC | Clinic/Center | 210 W 1st Street, Suite B Room 1, Freeport, TX 77541 | 2012-04-05 |
| 1467976530 | Carmen Garcia-garza | Nurse Practitioner | 905 N Gulf Blvd, Freeport, TX 77541 | 2017-07-31 |
| 1326380767 | Mohamed Awni Zebda | Pediatrics | 905 N Gulf Blvd, Freeport, TX 77541 | 2013-03-25 |
| 1003022898 | Nusrat Ahmed | Family Medicine | 905 N Gulf Blvd, Freeport, TX 77541 | 2007-05-16 |
| 1952707861 | Melissa Colvin | Nurse Practitioner | 602 Copper Rd, Freeport, TX 77541-3001 | 2014-11-05 |
| 1083926752 | Stanley H Miller | Preventive Medicine | 2301 N Brazosport Blvd # B-101, Dow Chemical Health Services, Freeport, TX 77541-3203 | 2010-07-09 |
| 1063633303 | Beverly E Morrison | Physical Medicine & Rehabilitation | 1102 N Brazosport Blvd, Freeport, TX 77541-3504 | 2007-05-02 |
| 1114917846 | Atlas Dental Lp | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2005-10-25 |
| 1457727109 | Shine Dental Pllc | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2015-08-17 |
| Find all providers in zip 77541 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841651445 | Roger Pierre Shevenell Jr. | Counselor | 663 Granite St, Freeport, ME 04032-6288 | 2016-03-10 |
| 1093198491 | Robbin L Klein Counseling Services | Counselor | 524 W Stephenson St, Suite 209b, Freeport, IL 61032-5057 | 2015-07-02 |
| 1114159811 | Mariann Jacobs | Counselor | 76 S Bergen Pl, 2t, Freeport, NY 11520-3505 | 2009-08-13 |
| 1043485238 | Signe Helen Alexander | Counselor | 1 Old Flying Point Rd, Freeport, ME 04032-6516 | 2008-04-28 |
| 1710105945 | Tyrone Anthony | Counselor | 110 Evans Ave, Freeport, NY 11520-1435 | 2007-04-23 |
| 1104978436 | Sojourn House Inc | Counselor | 565 N Turner Ave, Freeport, IL 61032-3252 | 2007-01-17 |
| 1063025211 | Janiece Kumar | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-08-27 |
| 1508331547 | Desiree M. Hamilton | Counselor | 33 Guy Lombardo Ave, Freeport, NY 11520-3637 | 2018-10-05 |
| 1174051213 | Charles Herring | Counselor | 1103 N Avenue H, Freeport, TX 77541-4006 | 2017-06-02 |
| 1619408747 | Joan Desmond | Counselor | 333 N Main St, Freeport, NY 11520-1231 | 2017-03-21 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.